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NPI Code Detail

MEDICARE: KACIE VARGO

MEDICARE: KACIE VARGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1528901055
Entity Type Code : Individual
Provider Name (Legal Business Name) : KACIE VARGO
Provider Business Mailing Address
First Line : 216 PINE DR
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-2025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 CHURCH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-2201
Country : US
Telephone Number : 267-807-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ KACIE VARGO ” Practice Location

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